Request for Approval and Verification of Absence

REQUEST FOR APPROVAL AND VERIFICATION OF ABSENCE

COMPLETION OF THIS DOCUMENT IS REQUIRED FOR LEGAL PURPOSES

If you do not have paid leave to cover your request, your salary will be DOCKED as appropriate to your leave request.

SECTION A To be completed by Employee

Full Name*

First NameLast Name

Position*

Site*

Type of Leave

Bereavement relationship

Type of Leave-Pre-Approval Required

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Illness/death of immediate familyAccident of person or property of employee or immediate family memberApperance in court - Classified onlySuch other reason approved by Superintendent or designee

(The above reasons are abbreviated. See your contract for futher definitions)

PERSONAL LEAVE:

MTA Article 9.10.1 - A bargaining unit membr shall be entitled to charge five (5) days of unused sick leave per school year to be used for any purpose which such bargaining unit member deems sufficiently important to absent himself from his/her duties. A bargaining unit member shall notify his/her principal twenty-four (24) hours in advance of taking such leave, unless an emergency makes such advance notification impossible. In no event, however, shall a bargaining unit member be required either to secure permission before utilizing such leave or to explain the purposes for which such leave was used.

CSEA Article 10.6 - A twelve-month classified bargaining unit member shall be entitled to charge six (6) days of unused sick leave per school year to be used for any purpose which such bargaining unit member deems sufficiently important to absent himself from his duties. Any bargaining uit member working less thatn twelve months shall be entitled to charge (5) days of unused sick leave per school year to be used for any purpose which such bargaining unito member deems sufficiently important to absent himself from his dutites. The bargaining unit membershall notify the supervisor at least twenty-four (24) hours in advance of taking such leave, unless an emergency makes such advance notification impossible.

CSEA Artickle 10.6.1 - A "day" is defined as the bargaining uit member's regularly scheduled working hours (i.e., a ten (10) month, four (4) hour bargaining unit member will be granted five (5), four hour days.

First Date of Absence*

MonthDayYear

Last Day of Absence*

MonthDayYear

Explanation for PN absences:

Number of Hours absent

Number of Days absent

By my signature below I verify the above absences(s) to be true and correct.

Employee Signature and Date

SECTION B To be completed by Principal or Immediate Supervisor

ApprovedNot Approved

Supervisor's Signature and Date

Murrieta Valley Unified School District